<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=, initial-scale=1.0">
    <title>Document</title>
</head>
<body>
    <div>
    <h3>Personal Details</h3>
    <form>
    <table border="0">
        <tr>
            <td>Do you apply for an lnspector Job?</td>
            <td></td>
            <td>
                <label for="Y">
                    <input type="radio" name="binggou" id="Y">yes
                </label>
                <label for="N">
                    <input type="radio" name="binggou" id="N">no
                </label>
            </td>
        </tr>

        <tr>
            <td>Last Name*</td>
            <td>
                <input type="text">
            </td>
            <td>First Name*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Sex*</td>
            <td>
                <select>
                    <option>nale</option>
                    <option>man</option>
                    <option>gril</option>
                </select>
            </td>
            <td>Telephoe*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Personal e-mail address*</td>
            <td>
                <input type="text">
            </td>
            <td>Mobile phone*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Address*</td>
            <td colspan="3">
                <textarea style="resize:none; width: 485px; height:29px"> 
                </textarea>
            </td>
        </tr>

        <tr>
            <td>Country of Residence*</td>
            <td colspan="3">
                <textarea style="resize:none; width: 485px; height:29px"> 
                </textarea>
            </td>
        </tr>

        <tr>
            <td>City*</td>
            <td colspan="3">
                <textarea style="resize:none; width: 485px; height:29px;"> 
                </textarea>
            </td>
        </tr>
        
        <tr>
            <td>
                <pre></pre>
            </td>
        </tr>
      
        <tr>
            <td>
                <h4>Professional References</h3>
            </td>
        </tr>
        <tr>
            <td>
                <b>Reference 1</b> 
            </td>
        </tr>

        <tr>
            <td>Company Name*</td>
            <td>
                <input type="text">
            </td>
            <td>Contact name*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Address*</td>
            <td>
                <input type="text">
            </td>
            <td>E-mail*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>City*</td>
            <td>
                <input type="text">
            </td>
            <td>Mobile phone*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Country/Region*</td>
            <td>
                <input type="text">
            </td>
            <td>Telephoe*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Company activity*</td>
            <td>
                <input type="text">
            </td>
            <td>Fax*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>
                <pre></pre>
            </td>
        </tr>

        <tr>
            <td>
                <b>Reference 2</b> 
            </td>
        </tr>

        <tr>
            <td>Company Name*</td>
            <td>
                <input type="text">
            </td>
            <td>Contact name*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Address*</td>
            <td>
                <input type="text">
            </td>
            <td>E-mail*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>City*</td>
            <td>
                <input type="text">
            </td>
            <td>Mobile phone*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Country/Region*</td>
            <td>
                <input type="text">
            </td>
            <td>Telephoe*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td>Company activity*</td>
            <td>
                <input type="text">
            </td>
            <td>Fax*</td>
            <td>
                <input type="text">
            </td>
        </tr>

        <tr>
            <td colspan="4">Input here additional comments that you think can better support your application</td>    
        </tr>

        <tr>
            <td colspan="4">
                <textarea style="width:720px; height: 70px;"></textarea>
            </td>
        </tr>

        <tr>
            <td>
                <pre></pre>
            </td>
        </tr>
      
        <tr>
            <td>
                <h4>Please attached here useful files</h3>
            </td>
            <td></td>
            <td></td>
            <td></td>
        </tr>

        <tr>
            <td></td>
            <td colspan="3">Picture <input type="text"> <input type="file" value="浏览..."><span>(jpg preferred...)</span> </td>
        </tr>

        <tr>
            <td></td>
        </tr>

        <tr>
            <td></td>
            <td colspan="3">Cv* <input type="text"> <input type="file" value="浏览..."></td>
        </tr>

        <tr>
            <td></td>
        </tr>

        <tr>
            <td></td>
            <td colspan="3">Passport Scan <input type="text"> <input type="file" value="浏览..."></td>
        </tr>

        <tr>
            <td></td>
        </tr>

        <tr>
            <td></td>
            <td colspan="3">
                Please enter the security code <input type="text"> <img src="Z%8`}P[)AN@~3NDR0}QW[{G.png">
                <input type="submit" value="Confirm">
                <input type="button" value="Cancel">
            </td>
        </tr>

    </table>
    </form>
    </div>
</body>
</html>